1.简单
A pleural effusion is:
- AA blood clot in the lung
- BA collection of fluid in the pleural space
- CAn infection of the bronchi
- DAir in the pleural space after an injury
2.简单
Hepatitis A is mainly spread by:
- ABlood transfusion
- BThe faecal–oral route
- CSexual contact only
- DMosquito bites
3.简单
Anaemia means:
- AA lower than normal haemoglobin level
- BA low platelet count
- CA raised blood glucose level
- DA higher than normal white cell count
4.中等
Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?
- AEat one very large meal a day rather than several small ones
- BLie down straight after each meal to let the food settle
- CAvoid large meals late in the evening and raise the head of the bed
- DWear tight belts to support the stomach
5.中等
一名化疗后中性粒细胞减少的患者体温为 38.3 °C。首要措施是什么?
- A等 24 小时看发热是否消退
- B只给对乙酰氨基酚,明天再次复查体温
- C鼓励患者出去散步
- D按中性粒细胞减少性脓毒症处理,紧急静脉使用抗生素
6.中等
一名患者腹部僵硬如板,因活动会加重疼痛而一动不动地躺着。这提示什么?
- A消化不良
- B尿路感染
- C便秘
- D腹膜炎
7.困难
Why are early surgery and early mobilisation recommended for older patients with a hip fracture?
- AThey mainly reduce the cost of the operation
- BThey allow the bone to heal fully without any need for pain relief
- CThey reduce complications such as pneumonia, pressure ulcers and delirium
- DThey make physiotherapy and rehabilitation unnecessary after discharge
8.困难
A patient on metformin with reduced kidney function is due a CT scan with IV contrast. Why might metformin be withheld?
- AThere is a risk of lactic acidosis if kidney function worsens
- BMetformin makes the images blurry
- CMetformin causes severe bleeding during scans
- DMetformin reacts with the contrast to cause severe hyperglycaemia
答案
- 1. B · A collection of fluid in the pleural space
- 2. B · The faecal–oral route
- 3. A · A lower than normal haemoglobin level
- 4. C · Avoid large meals late in the evening and raise the head of the bed
- 5. D · 按中性粒细胞减少性脓毒症处理,紧急静脉使用抗生素
- 6. D · 腹膜炎
- 7. C · They reduce complications such as pneumonia, pressure ulcers and delirium
- 8. A · There is a risk of lactic acidosis if kidney function worsens
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